Duke University Health System (DUHS) Job Descriptions
Duke Job Postings
To see if there are current openings for any of the job descriptions listed on this web site, please search Duke Jobs.
PRACTICE ADMINISTRATOR
Job Title: PRACTICE ADMINISTRATOR
Job Code: 5684
FLSA: E
Job Level: I2
Revised Date: 12/01/2025
Supervisory Responsibility: Yes
General Description of the Job Class
The Practice Administrator provides strategic, operational, and financial leadership for multiple ambulatory clinic locations within an assigned service area. Clinics under the Practice Administrator's leadership meet defined criteria for scope based on FTE count, patient volume, clinical complexity, and operational footprint. The Practice Administrator ensures high-quality patient care, financial sustainability, and operational efficiency across all assigned locations. This role partners with physician and advanced practice provider leadership, Nurse Managers, Clinic Managers, and the Ambulatory Operations Director to drive service line performance and align operations with DUHS goals, regulatory standards, and patient experience expectations.
Duties and Responsibilities of this Level
Provide overall operational leadership and administrative oversight for multiple ambulatory clinics, ensuring alignment with service line and DUHS strategic goals.
Partner with physician, APP, and nursing leadership to optimize clinical operations, patient access, and care quality across all sites. Develop, manage, and monitor clinic budgets, including payroll, capital, and operating expenses; implement strategies for cost control and revenue growth.
Oversee recruitment, selection, development, and evaluation of administrative and clinical leaders (Clinic Managers, Nurse Managers) within assigned clinics.
Lead the implementation of standard work processes, performance improvement projects, and patient experience initiatives across all locations.
Monitor compliance with all regulatory, accreditation, safety, and infection control requirements across assigned clinics.
Analyze operational and financial performance data; develop and execute action plans to address identified gaps or opportunities.
Serve as liaison between assigned clinics and service line, system leadership, and external partners; represent clinics in system-level initiatives.
Coordinate operational support for providers, ensuring appropriate resource allocation, clinic infrastructure, and operational readiness.
Required Qualifications at this Level
Education
Bachelor's degree in healthcare administration, nursing, business, or related field required. Master's degree in healthcare administration, nursing, business, or related field preferred.
Experience
Minimum of five years of progressively responsible experience in ambulatory or hospital operations, with at least two years in a leadership role managing multiple clinic or departmental locations. Experience in ambulatory or outpatient clinic operations preferred.
Degrees, Licensure, and/or Certification
Knowledge, Skills, and Abilities
Strong leadership and strategic management skills in a multi-site environment.
Comprehensive knowledge of ambulatory operations, financial management, and regulatory compliance.
Ability to lead through influence and foster collaboration across multiple disciplines.
Proven skills in budget development, performance improvement, and change management.
Strong analytical and decision-making abilities.
Excellent written and verbal communication skills.
Distinguishing Characteristics of this Level
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
